Organization Active NPI

HK Pharmacy Inc

Doing business as Hallidays Koivistos Pharmacy

  • Community/Retail Pharmacy
  • Jacksonville, FL
National Provider Identifier
1710986575
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HK PHARMACY INC
Doing business as
Hallidays Koivistos Pharmacy
Halliday's & Koivisto's Pharmacy
Practice address
4133 University Blvd S Ste 1
Jacksonville, FL 32216-4350
Phone
(904) 737-2216
Fax
(904) 737-2218
NPI assigned
Jul 14, 2005
Last updated
Aug 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Nirav Patel
Title
President
Phone
(904) 737-2216

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

4133 University Blvd S Ste 1
Jacksonville, FL 32216-4350

Mailing address

4133 University Blvd S Ste 1
Jacksonville, FL 32216-4350
Phone (904) 737-2216

Other names 2

  • HALLIDAYS KOIVISTOS PHARMACY Doing business as
  • Halliday's & Koivisto's Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110118000133 FL Part B Supplier - Mass Immunization (Roster Biller Only) 1850419482 Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory
Tax ID family
Halliday's Drugs Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4133 University Blvd S
Jacksonville, FL 32216

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1710986575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4133 UNIVERSITY BLVD S STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164350",
            "telephone_number": "904-737-2216",
            "fax_number": "904-737-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 UNIVERSITY BLVD S STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164350",
            "telephone_number": "904-737-2216",
            "fax_number": "904-737-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HK PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIRAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-737-2216",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HALLIDAYS KOIVISTOS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Halliday's & Koivisto's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Halliday's & Koivisto's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.